Table 1

Patient characteristics: summary table of demographic data, relevant treatment and toxicity history, presenting symptoms, diagnostic course and treatment offered for ototoxicity

Patient 1Patient 2Patient 3Patient 4Patient 5Patient 6
Age (years)406141526255
SexMFMMMF
RaceWAAWWWW
Prior systemic therapyNoneNoneIL-2, Carboplatin/PaclitaxelInterferonNoneNone
Prior brain radiotherapy (Y/N)NYNNNY
Immunotherapy agent(s)Ipilimumab+NivolumabIpilimumab+NivolumabNivolumabRecombinant IL-21 +NivolumabNivolumabPembrolizumab
Intracranial metastasis (Y/N)NYNYNY
Other irAEsAnterior uveitis, dermatitisHypophysitisNoneDermatitis, arthritisNoneThyroiditis, pancreatitis
Other irAE treatmentsUveitis: prednisolone eye drops, cyclopentolate eye drops
Inflammatory arthritis: topical triamcinolone, oral prednisone
Prednisone, levothyroxineN/AInflammatory arthritis: celecoxib
Dermatitis: benadryl
N/AThyroiditis: levothyroxine
Pancreatitis: prednisone, infliximab
Best response to ICI
(RECIST v1.1)
Partial responsePartial responsePartial responsePartial responseComplete responseProgressive disease
Laterality of hearing symptomsBilateralBilateralUnilateralBilateralBilateralBilateral
Time to ototoxicity symptoms from immunotherapy start (weeks)31621610164
Number of ICI doses received prior to ototoxicity1219512
Total number of doses of ICI received1448263212
Diagnostic evaluation and treatment for hearing loss
Audiogram (Y/N)YYYYYY
MRI brain with contrast (Y/N)NYNYYY
Degree of SNHLModerate-severeModerate-severeModerate-severe to profoundMild-moderateNoneMild
Symmetric vs asymmetric audiometry findingsSymmetricAsymmetricAsymmetricAsymmetricSymmetricAsymmetric
Reduction in speech reception thresholds (Y/N)YYYNNN
Reduction in word recognition ability (Y/N)YNYNNY
Ototoxicity treatmentPrednisoneHearing aidsNoneHearing aidsHearing aids (pt declined)None
Subjective change in hearing lossImprovedStableStableStableStableStable
  • AA, African American; anti-PD-1, anti-programmed death-1; F, female; ICI, immune checkpoint inhibitor; IL, interleukin; irAE, immune-related adverse event; M, male; pt, patient; RECIST, response evaluation criteria in solid tumors; SNHL, sensorineural hearing loss; W, white.